Forms

Employees, please complete all applicable forms as needed or requested by RSS Management. Independent Contractors, please use the link below to access your forms.

Here is a list of the forms that are accessible below:

• Initial Intake Form
• Direct Deposit Authorization Form
• Alternative Payroll Request Form
• Mandatory Non-Disclosure Agreement (NDA)
• Non-Disclosure Agreement (NDA) Acknowledgment Form
• Conflict of Interest Disclosure
• Tax forms
• Emergency Contact Form
• Change of Address Form
• Job Application: If you have never completed one with RSS, please click here

Intake Form [Initial]

To be completed by all personnel and contractors, regardless of length of contract, employment, or assignment.

Please enable JavaScript in your browser to complete this form.

Name *

First

Last

Email *

Phone Number *

Date of Birth *

Address

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Guard Card Number

For guards/security specialists

Firearm Permit Number [If applicable]

Other Permits, Licenses, Certifications [if applicable]

Social Security Number or Employer ID Number *

Enter your social security number or employer identification number (if applicable)

Are You One of The Following? *

• Independent Contractor (1099)
• Self-Employed
• Own a S-Corp/C-Corp Company
• None of the above

Your Company Name

Preferred Shift Time [AM, Graveyard, etc.]

Be as specific as possible to better assist us with scheduling your shifts

Did You Complete and Submit Our Direct Deposit Form? *

• Yes
• No
• I Don’t Know

Select Preferred Payroll Payment Option *

• Direct Deposit
• Zelle
• Other

Financial Institution Name

List your bank or credit union’s name

Routing Number

Account Number

Financial Institution Address

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

This can also be the branch location of your bank or credit union

Confirm that you want 100% of your paycheck deposited into this account? *

• Yes

Payroll Information For Zelle or "Other" Payment Option *

If you selected “Zelle” please provide the phone number and/or email address associated with the account you want your paycheck. If you selected “Other” please state preferred payment method/system, and your payment information. We will see if our payroll service provider can accommodate your request.

Shirt Size [men's sizes S, M, L, XL, XXL] *

• Small
• Medium
• Large
• X-Large
• 2XL
• 3XL
• 4XL

Who Referred You to Rodgers Security Solutions? [If applicable]

Type the name of the person or company that referred you to our company so, if possible, we can thank them. If you found us by searching online or through a job posting on a website, please state this.

Emergency Contact *

Please provide the first and last name, phone number, and address of an emergency contact.

Do you certify that the information you provided above is accurate and complete? *

• Yes

Submit

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